Deficiency Records for Salem Springlake Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Salem Springlake Health and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-12-05 | 2024-02-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-05 | 2024-02-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-08 | 2024-01-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-12-08 | 2024-01-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-08 | 2024-01-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-12-08 | 2024-01-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-08 | 2024-01-21 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-12-08 | 2024-01-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-05 | 2024-01-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-05 | 2024-01-21 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-12-05 | 2024-01-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-05 | 2024-01-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-28 | 2021-06-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-28 | 2021-06-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-01 | 2021-05-05 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-04-01 | 2021-05-05 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-04-01 | 2021-05-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-01 | 2021-05-05 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-04-01 | 2021-05-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-01 | 2021-05-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-01 | 2021-05-05 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-03-31 | 2021-04-20 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-03-31 | 2021-04-20 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-03-31 | 2021-04-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-03-31 | 2021-04-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-03-31 | 2021-04-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-31 | 2021-04-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-03-31 | 2021-04-20 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-03-31 | 2021-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-31 | 2021-04-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-03-31 | 2021-04-20 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-03-31 | 2021-04-20 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-03-31 | 2021-04-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-01-11 | 2019-02-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-11 | 2019-02-11 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-01-11 | 2019-02-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-11 | 2019-02-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-11 | 2019-02-11 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-01-11 | 2019-02-11 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-01-11 | 2019-02-11 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-01-11 | 2019-02-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-11 | 2019-02-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-11 | 2019-02-11 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-01-10 | 2019-02-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-01-10 | 2019-01-29 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-01-10 | 2019-01-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-10 | 2019-01-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-10 | 2019-01-10 | N |
